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General NPI Number Information
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NPI Number | 1063679686
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ALMIRANTE NORTE CORP
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 04/11/2014
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Provider Practice Location Address
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Address Line | CARR 160 BO ALMIRANTE NORTE KM 4.5
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-645-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 141 PALMAS DE CERRO GORDO
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-654-8885
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. EDIBERTO COLON
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Credential |
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Telephone | 787-654-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PR
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